NPI | 1831645621 |
---|---|
Former Name | DIANA LEIGH DRIBBLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0134118) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 084462-73) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2021-06-15 |